Wednesday, 27 February 2013

Reconstructive Surgery for Peyronie's Disease

Surgery for peyronie's disease is a treatment option that benefits many men. While there can be down sides such as potential ED issues, shortening of the penis, and changes in the condition further down the line (though changes can of course happen with or without surgery) it's often a viable option for men with stable peyronie's. This is especially true when the extent of the penile curvature rules out options such as VED / traction in combination with oral treatments. These latter options are designed to soften and stretch the plaque - it's a more conservative approach.

While there are several posts and studies covering surgical solutions on the site, as well as valuable input from medical professional such as the comment underneath this surgery post it could be said that coverage of PD surgery here is not as complete as it could be. An area especially lacking is penile implant surgery, a type of procedure often carried out when the patient can no longer achieve a functional erection, on account of erectile dysfunction.

With this in mind, I was pleased to be sent a truly thorough document on penile reconstructive surgery for peyronie's disease called 'Atlas of Reconstructive Penile Surgery'. It can be downloaded here . This 40+ page document, brought to us by a renowned Italian urologist, includes a very detailed guide to prosthetic implants, including the type of implants available (non inflatable, inflatable etc) and lists the advantages and disadvantages of each. It also touches on the more functional types of penile surgery such as various grafting methods, nesbit procedure and so on. There are mentions of Dr Lue and David Ralph along the way, surgeons noted for their exertise. It's a very complete look at surgical approaches, with an emphasis on implants.

Note: The .pdf features graphic colour images of penile surgery. If you don't wish to see such images, you may want to give this a miss. You can always view non graphic peyronie's disease bend pictures here instead.

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